Small bowel obstruction caused by congenital mesocolic hernia: case report

Congenital and acquired mesocolic hernias presenting with small bowel obstruction in childhood and adolescence

“…This condition requires special attention from the clinician because of its catastrophic consequences if left untreated and is of special concern in children who have a previous history of malrotation, abdominal wall defects, congenital diaphragmatic hernias, or previous repairs of incidental internal hernias [1][2][3][4]6] because these anomalies are associated with defects of intestinal rotation and fixation.…”

“…1) are less commonly encountered intestinal rotation and fixation disorders resulting from the formation of potential anatomical spaces between the normal mesocolon and the retroperitoneum, creating a true hernia sac within the peritoneal cavity that can be either congenital or acquired. The incidence of this abnormality is not known because most cases are asymptomatic [2]. An important concern is that these patients have an increased risk of developing incarceration, obstruction, and strangulation of the herniated bowel.…”

Congenital Middle Mesocolic Hernia: A Rare Cause of Neonatal Intestinal Obstruction

“…In congenital transverse mesocolic hernias, the transverse colon is invaginated behind the superior mesenteric artery and the mesentery, with the duodenum lying anterior to the superior mesenteric artery. However, congenital middle mesocolic hernias protrude into a congenital defect in the middle portion of the transverse mesocolon to the left of the middle colic artery is extremely rare, as was seen in our case [6].There are 9 reported cases of congenital mesocolic hernias in the literature, and only one of them was a neonate who in fact was found to have right mesocolic hernia [5][6][7][8][9][10].…”

Muerte súbita e inesperada de un niño por hernia interna transmesocólica del intestino delgado

“…Este tipo de hernias tiene tendencia a reducirse espontáneamente, con lo que no es extraño que se produzcan episodios autolimitados de subobstrucción que no pueden ser correctamente diagnosticados en vida. El diagnóstico clínico y de imagen es complejo por la dificultad para definir los defectos del cierre mesentérico y no es extraño que se retrase el mismo con el consiguiente riesgo de morbimortalidad asociado con la subsiguiente necrosis intestinal [4,5,6,7].…”